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SUNRAY DRUGS SPECIALTY
CH034140 SPECTRUM HEALTH SERVICES, INC.
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Covered Entity Details
Entity Name
SPECTRUM HEALTH SERVICES, INC.
Subdivision Name
Spectrum Community Health Center
Type
HRSA-Funded Health Center
340B ID
CH034140
Entity Address
5201 Haverford Avenue
Philadelphia, PA 19139
Grant Number
H80CS00389
Participating Start Date
1/1/2000
Last Recertification Date
2/13/2025
Pharmacy Details
Pharmacy Name
SUNRAY DRUGS SPECIALTY
Pharmacy Address
142 S 52ND ST
SUITE 201
PHILADELPHIA, PA 19139
Pharmacy Comments
Contract Details
Approval Date
7/14/2020
Contract Begin Date
10/1/2020
Carve-In Effective Date
Contract Comments
Contacts
Covered Entity Signing Official
Karen L Graves, Chief Compliance Officer
(267) 990-5338 Ext: 2014179086
Contract Pharmacy Representative
Sunray Drugs Specialty
Daniel Kuo, CEO
(215) 471-4000 Ext: 0
Signed By Date
7/14/2020
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